via Talents By Vaia
$90K - 110K a year
Review medical necessity for care levels, render authorizations or denials, and collaborate with medical staff while documenting outcomes.
Current California RN license, strong clinical patient care experience, computer proficiency including EMR, ability to work independently remotely, BSN preferred.
A company is looking for a Nurse RN III. Key Responsibilities • Review medical necessity for various levels of care using clinical knowledge and established guidelines • Render authorizations or denials within required regulatory turnaround times • Collaborate with case managers and medical staff while accurately documenting review outcomes Required Qualifications • Current, valid California Registered Nurse (RN) license • Strong hands-on clinical background with direct patient care experience • Proficiency with computers, including Microsoft applications and electronic medical records (EMR) • Ability to work independently in a remote environment and manage daily tasks effectively • BSN preferred but not required
This job posting was last updated on 12/7/2025